I've pretty much lost the ability to orgasm, unfortunately... I still haven't figured out how to make it work now.
Basically, I still have a sex-drive, but it's MUCH harder to get it going to the point where I can really get wrapped up in it and even get remotely close to climax levels. And I have a serious issue with genital dysphoria, so it's really hard to get lost in the fantasy for me when that damned thing just feels so wrong, and is constantly changing and moving around, and is so sensitive now that I can barely touch it without it hurting. And I've tried the whole "g-spot" thing that people have suggested, but while that did get me a bit closer, still nothing.
It's been two months since I've made it, even though I've tried at least five times. I just don't understand how it's supposed to work now, with a very female sex-drive but male anatomy still getting in the way. And the stupid thing is, I've had "female" orgasms in my dreams before, so I know exactly the mental "getting lost in it" mindset that I need to be in to make it work, but the problem is that I can't figure out how to replicate that in real life. And it always feels like my anatomy is fighting against me instead of helping me in that regard.